Customer Service Representative

Job Summary

Providing essential support to members and providers, the full-time Customer Service Representative will manage inbound and outbound calls, ensuring first call resolution while working remotely from various states.

Key responsibilities

• Deliver first call resolution through effective inbound and outbound customer service interactions
• Document and resolve customer issues promptly, routing inquiries as necessary for further investigation
• Maintain compliance with Personal Protected Information (PPI) requirements while handling sensitive information

Required qualifications

• High School Diploma or GED
• Two years of customer service experience in related fields
• Demonstrated proficiency in Microsoft Office Suite or equivalent software
• Experience in healthcare, insurance, or claims processing industries
• Ability to adapt communication style to diverse audiences